Evidence map›Paper›PMID 34261631›Full record

ArticleBMJ case reports2021

Gender-affirming hormone therapy associated with multiple meningiomas and atypical histology in a transgender woman.

Christopher Paul Millward, Eleri Phillips, Andrew Folusho Alalade, Catherine Elizabeth Gilkes

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Christopher Paul MillwardInstitute of Systems, Molecular, and Integrative Biology, University of Liverpool, Liverpool, UK drcpm@liverpool.ac.uk.ORCID http://orcid.org/0000-0001-7727-1157
Eleri PhillipsDepartment of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Andrew Folusho AlaladeDepartment of Neurosurgery, Royal Preston Hospital, Preston, UK.
Catherine Elizabeth GilkesDepartment of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, UK.
University of Liverpool · GBRoyal Preston Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a 69-year-old transgender woman who underwent gender-affirming surgery in 1998 and gender-affirming hormone therapy (cyproterone acetate (CPA) and estradiol) since this time. Following an MRI scan to investigate tremor in 2013, an incidental left anterior clinoid and right petrous meningioma were identified. Subtotal surgical resection was achieved for the anterior clinoid meningioma (WHO grade 1, meningothelial subtype). At follow-up in 2016, an olfactory groove meningioma and left greater wing of sphenoid meningioma were identified. By 2017, both tumours, along with the petrous meningioma, demonstrated significant growth. In 2018, clinical decline was evident and MRI demonstrated further tumour growth. Surgery was scheduled and the olfactory groove meningioma was completely resected (WHO grade 2, chordoid subtype). Hormones were stopped, after which regression of the petrous meningioma was observed. This case demonstrates an association between high-dose CPA and estradiol and the development, growth and regression of meningiomas in a transgender woman.

Indexed as

Meningeal NeoplasmsMeningiomaTransgender PersonsTranssexualismAgedEstradiolFemaleHumansMaleEstradiolneurosurgeryunwanted effects / adverse reactions

Identifiers

PMID34261631
PMCPMC8280901
OpenAlexW3182620203

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.